﻿<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.01 Transitional//EN">
<html>
<!-- saved from url=(0029)http://www.helpandmanual.com/ -->
<head> 
   <!-- Premium Pack Version 1.24 Template design (c) copyright 2008-2009 by Tim Green and EC Software -->
   <title>Non-ART Follow up</title> 
   <meta name="generator" content="Help &amp; Manual" /> 
   <meta name="keywords" content="" />
   <meta name="description" content="HIV Care Static Form: Non-ART Follow up" />
   <meta name="copyright" content="© 2012 Futures Group" /> 
   <meta http-equiv="Content-Type" content="text/html; charset=UTF-8" />                                         
   <link type="text/css" href="default.css" rel="stylesheet" />
   <link type="text/css" href="custom.css" rel="stylesheet" />
   <script type="text/javascript" src="jquery-1.3.2.min.js"></script>
   <script type="text/javascript" src="jquery.scrollTo-min.js"></script>
   <script type="text/javascript" src="nsh.js"></script>

<script type="text/javascript">

</script>



<style type="text/css">
   .help-url { font-size: 8pt; font-family: Verdana, Helvetica, sans-serif; 
               color: #000; text-align: center; margin: 15px 20px 20px 0px; 
               padding-top: 5px; border-top: 1px solid #000;}
   .help-url a { color: #000; text-decoration: none; }
   .help-url a:visited { color: #000; }
   .help-url a:hover { color: #000; text-decoration: underline; }
   .highlight {background: #ffff40;}
</style>







<!-- CSS set with project variables and local attributes --> 
<style type="text/css" media="screen"> 
   body { background: #fff; } 
   #breadcrumbs { width: 100%; background-color: white; border: 1px solid #000; padding: 2px 0 1px 2px;
   margin: 3px 0; font-size: 8pt; color: #000;}
   #breadcrumbs a { color: #000; text-decoration: none;}
   #breadcrumbs a:visited { color: #000; }
   #breadcrumbs a:hover { color: #098ae2; text-decoration: none; }
</style> 

<!-- Adjustment for IE -->
<!--[if lte IE 8]>
<style type="text/css">
.topichead { padding-right: 0; }
#autoTocWrapper ul li { padding: 3px 3px 4px 3px;}

   .breadhead {
   margin: 0;
   padding-right: 5px;
   }
   img#togtoc {
       bottom:1px; 
    }   

   
</style>
<![endif]-->
   
<script type="text/javascript">
// Initialize the page 
addEvent(window, "load", nsrInit);
addEvent(window, "load", doResize);
addEvent(window, "resize", doResize);
if (!$.browser.msie) {
addEvent(window, "load", toggleJump);
}
</script>

<script type="text/javascript" src="helpman_topicinit.js"></script>
<!-- Redirect browser to frame page if page is not in the content frame. -->
<script type="text/javascript">
<!--
if (location.search.lastIndexOf("toc=0")<=0) {
  if (parent.frames.length==0) { parent.location.href="index.html?non_art_follow_up_ar_br.htm"; }
  else { parent.quicksync('a11.3.5'); }
}
//-->
</script>
<script type="text/javascript" src="highlight.js"></script></head> 
<body onload="highlight();">
<div id="hmpopupDiv" style="visibility:hidden; position:absolute; z-index:1000; "></div>
<!--ZOOMSTOP-->

<div id="printheader">
<span id="printtitle">IQCare User Guide V3.2</span><br />
<p class="p_Heading1"><span class="f_Heading1">HIV Care Static Form: Non-ART Follow up</span></p>
</div>
<div id="idheader" style= "background: #a7d7f8 url('bg_topichd.gif') repeat-x bottom;"> 
<table id="breadtable" width="100%" border="0" cellspacing="0" cellpadding="0"> 
  <tr >
  <td align="left" class="breadhead" height="5">
        
  </td>
  </tr>
</table>
<table width="100%" border="0" cellspacing="0" cellpadding="0" id="headtable"> 

<!-- Script version of NavHeader -->
<tr id="scriptNavHead" valign="middle" style="height: auto;">
   
   <td align="left" class="topichead">
   <p class="p_Heading1"><span class="f_Heading1">HIV Care Static Form: Non-ART Follow up</span></p>

   </td>
   
   <td align="center" width="20" class="idnav" valign="bottom">
     <a href="initial_evaluation_ar_br.htm"
        onmouseover="document.images.prev.src='button_prev_h.gif'" 
        onmouseout="document.images.prev.src='button_prev.gif'">
        <img name="prev" src="button_prev.gif" border="0" alt="Previous topic" title="Previous topic" /></a>
     
   </td>
   
   <td align="center" width="20" class="idnav" valign="bottom">
     <a href="art_follow_up_ar_br.htm"
        onmouseover="document.images.next.src='button_next_h.gif'" 
        onmouseout="document.images.next.src='button_next.gif'"><img name="next" src="button_next.gif" border="0" alt="Next topic" title="Next topic" /></a>
        
   </td>
   
   
   
  
   <td width="4">&nbsp;</td>
  </tr>
<!-- End script navheader version -->

<!-- NoScript version of navheader -->
  <tr id="noScriptNavHead" valign="middle" style="height: auto;"> 
    <td align="left" class="topichead"> 
    <p class="p_Heading1"><span class="f_Heading1">HIV Care Static Form: Non-ART Follow up</span></p>

    </td>
    <td align="center" width="20" class="idnav" valign="bottom">
     <a href="initial_evaluation_ar_br.htm">
        <img src="button_prev.gif" border="0" alt="Previous topic" title="Previous topic" /></a>
     
   </td>
   <td align="center" width="20" class="idnav" valign="bottom">
     <a href="art_follow_up_ar_br.htm">
        <img src="button_next.gif" border="0" alt="Next topic" title="Next topic" /></a>
        
   </td>
   
   
   
   
   <td width="4">&nbsp;</td>
  </tr>
<!-- End noscript navheader version -->
  </table>
<div id="autoTocWrapper"></div>
</div> 

<div id="idcontent"><div id="innerdiv">
<!--ZOOMRESTART-->
<div style="text-align: left; text-indent: 0px; padding: 0px 0px 0px 0px; margin: 0px 0px 0px 10px;"><table cellspacing="0" cellpadding="0" border="0" style="border: none; border-spacing:0px; border-collapse: collapse;">
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="42" bgcolor="#c0c0c0" style="width:42px; height:24px; background-color:#c0c0c0; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">Form No.</span></p>
</td>
<td valign="top" width="150" bgcolor="#c0c0c0" style="width:150px; height:24px; background-color:#c0c0c0; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">Form Label</span></p>
</td>
<td valign="top" width="130" bgcolor="#c0c0c0" style="width:130px; height:24px; background-color:#c0c0c0; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">Database Table</span></p>
</td>
<td valign="top" width="111" bgcolor="#c0c0c0" style="width:111px; height:24px; background-color:#c0c0c0; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">Field Name</span></p>
</td>
<td valign="top" width="229" bgcolor="#c0c0c0" style="width:229px; height:24px; background-color:#c0c0c0; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">Business Rule</span></p>
</td>
<td valign="top" width="51" bgcolor="#c0c0c0" style="width:51px; height:24px; background-color:#c0c0c0; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">Required for Saving</span></p>
</td>
<td valign="top" width="53" bgcolor="#c0c0c0" style="width:53px; height:24px; background-color:#c0c0c0; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">Minimum Reporting</span></p>
</td>
<td valign="top" width="53" bgcolor="#c0c0c0" style="width:53px; height:24px; background-color:#c0c0c0; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">Minimum Clinical</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="42" style="width:42px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">1</span></p>
</td>
<td valign="top" width="150" style="width:150px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">First Name</span></p>
</td>
<td valign="top" width="130" style="width:130px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">mst_Patient </span></p>
</td>
<td valign="top" width="111" style="width:111px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">FirstName</span></p>
</td>
<td valign="top" width="229" style="width:229px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">Auto filled</span></p>
</td>
<td valign="top" width="51" style="width:51px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">Yes</span></p>
</td>
<td valign="top" width="53" style="width:53px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">Yes</span></p>
</td>
<td valign="top" width="53" style="width:53px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">Yes</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="42" style="width:42px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">1</span></p>
</td>
<td valign="top" width="150" style="width:150px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">Last Name</span></p>
</td>
<td valign="top" width="130" style="width:130px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">mst_Patient </span></p>
</td>
<td valign="top" width="111" style="width:111px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">LastName</span></p>
</td>
<td valign="top" width="229" style="width:229px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">Auto filled</span></p>
</td>
<td valign="top" width="51" style="width:51px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">Yes</span></p>
</td>
<td valign="top" width="53" style="width:53px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">Yes</span></p>
</td>
<td valign="top" width="53" style="width:53px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">Yes</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="42" style="width:42px; height:89px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">2</span></p>
</td>
<td valign="top" width="150" style="width:150px; height:89px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">Visit Date</span></p>
</td>
<td valign="top" width="130" style="width:130px; height:89px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">ord_Visit </span></p>
</td>
<td valign="top" width="111" style="width:111px; height:89px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">VisitDate</span></p>
</td>
<td valign="top" width="229" style="width:229px; height:89px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">Date on which the patient came into the clinic.</span></p>
<p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">The date cannot be same as pharmacy form.</span></p>
<p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">No future dates allowed - like 2020</span></p>
</td>
<td valign="top" width="51" style="width:51px; height:89px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">Yes</span></p>
</td>
<td valign="top" width="53" style="width:53px; height:89px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">Yes</span></p>
</td>
<td valign="top" width="53" style="width:53px; height:89px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">Yes</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="42" style="width:42px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">3</span></p>
</td>
<td valign="top" width="150" style="width:150px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">ID - Country</span></p>
</td>
<td valign="top" width="130" style="width:130px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">mst_Facility </span></p>
</td>
<td valign="top" width="111" style="width:111px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">CountryID</span></p>
</td>
<td valign="top" width="229" style="width:229px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">Auto filled</span></p>
</td>
<td valign="top" width="51" style="width:51px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">Yes</span></p>
</td>
<td valign="top" width="53" style="width:53px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">Yes</span></p>
</td>
<td valign="top" width="53" style="width:53px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="42" style="width:42px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">3</span></p>
</td>
<td valign="top" width="150" style="width:150px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">ID - LOT#</span></p>
</td>
<td valign="top" width="130" style="width:130px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">mst_Facility </span></p>
</td>
<td valign="top" width="111" style="width:111px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">PosID</span></p>
</td>
<td valign="top" width="229" style="width:229px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">Auto filled</span></p>
</td>
<td valign="top" width="51" style="width:51px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">Yes</span></p>
</td>
<td valign="top" width="53" style="width:53px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">Yes</span></p>
</td>
<td valign="top" width="53" style="width:53px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="42" style="width:42px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">3</span></p>
</td>
<td valign="top" width="150" style="width:150px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">ID - Satellite #</span></p>
</td>
<td valign="top" width="130" style="width:130px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">mst_Facility </span></p>
</td>
<td valign="top" width="111" style="width:111px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">satelliteID</span></p>
</td>
<td valign="top" width="229" style="width:229px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">Auto filled</span></p>
</td>
<td valign="top" width="51" style="width:51px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">Yes</span></p>
</td>
<td valign="top" width="53" style="width:53px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">Yes</span></p>
</td>
<td valign="top" width="53" style="width:53px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="42" style="width:42px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">3</span></p>
</td>
<td valign="top" width="150" style="width:150px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">ID - Patient Enrollment Number</span></p>
</td>
<td valign="top" width="130" style="width:130px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">mst_Patient </span></p>
</td>
<td valign="top" width="111" style="width:111px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">PatientEnrollmentID</span></p>
</td>
<td valign="top" width="229" style="width:229px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">Auto filled</span></p>
</td>
<td valign="top" width="51" style="width:51px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">Yes</span></p>
</td>
<td valign="top" width="53" style="width:53px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">Yes</span></p>
</td>
<td valign="top" width="53" style="width:53px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="42" style="width:42px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">4</span></p>
</td>
<td valign="top" width="150" style="width:150px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">Existing Hosp/Clinic #</span></p>
</td>
<td valign="top" width="130" style="width:130px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">mst_Patient </span></p>
</td>
<td valign="top" width="111" style="width:111px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">PatientClinicID</span></p>
</td>
<td valign="top" width="229" style="width:229px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">Auto filled</span></p>
</td>
<td valign="top" width="51" style="width:51px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">Yes</span></p>
</td>
<td valign="top" width="53" style="width:53px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="53" style="width:53px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">Yes</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="42" style="width:42px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">6</span></p>
</td>
<td valign="top" width="150" style="width:150px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">Last CD4 Count</span></p>
</td>
<td valign="top" width="130" style="width:130px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">dtl_PatientLabResult</span></p>
</td>
<td valign="top" width="111" style="width:111px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">TestResults</span></p>
</td>
<td valign="top" width="229" style="width:229px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">Auto populate</span></p>
</td>
<td valign="top" width="51" style="width:51px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="53" style="width:53px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="53" style="width:53px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="42" style="width:42px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">6</span></p>
</td>
<td valign="top" width="150" style="width:150px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">Last CD4 Count Date</span></p>
</td>
<td valign="top" width="130" style="width:130px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">ord_PatientLabOrder </span></p>
</td>
<td valign="top" width="111" style="width:111px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">ReportedbyDate</span></p>
</td>
<td valign="top" width="229" style="width:229px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">Auto populate</span></p>
</td>
<td valign="top" width="51" style="width:51px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="53" style="width:53px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="53" style="width:53px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="42" style="width:42px; height:23px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">9</span></p>
</td>
<td valign="top" width="150" style="width:150px; height:23px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">Pregnant</span></p>
</td>
<td valign="top" width="130" style="width:130px; height:23px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-family: 'Tahoma'; font-weight: bold;">dtl_PatientClinicalStatus </span></p>
</td>
<td valign="top" width="111" style="width:111px; height:23px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">Pregnant</span></p>
</td>
<td colspan="2" valign="top" width="229" style="width:229px; height:23px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">Should only display if the patient has Gender=female</span></p>
<p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">This should be defaulted to "No"</span></p>
</td>
<td valign="top" width="53" style="width:53px; height:23px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">Yes</span></p>
</td>
<td valign="top" width="53" style="width:53px; height:23px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">Yes</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="42" style="width:42px; height:23px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">9</span></p>
</td>
<td valign="top" width="150" style="width:150px; height:23px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">LMP</span></p>
</td>
<td valign="top" width="130" style="width:130px; height:23px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-family: 'Tahoma'; font-weight: bold;">dtl_PatientClinicalStatus </span></p>
</td>
<td valign="top" width="111" style="width:111px; height:23px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">LMP</span></p>
</td>
<td colspan="4" valign="top" width="229" style="width:229px; height:23px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">LMP= Last Menstral Period</span></p>
<p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">Should only display if the patient has Gender=female</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="42" style="width:42px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="150" style="width:150px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="130" style="width:130px; height:12px; border: solid 1px #000000;"><p style="text-align: right; margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="111" style="width:111px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="229" style="width:229px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="51" style="width:51px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="53" style="width:53px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="53" style="width:53px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="42" bgcolor="#99ccff" style="width:42px; height:12px; background-color:#99ccff; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="150" bgcolor="#99ccff" style="width:150px; height:12px; background-color:#99ccff; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">Presenting Complaints</span></p>
</td>
<td valign="top" width="130" bgcolor="#99ccff" style="width:130px; height:12px; background-color:#99ccff; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="111" bgcolor="#99ccff" style="width:111px; height:12px; background-color:#99ccff; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="229" bgcolor="#99ccff" style="width:229px; height:12px; background-color:#99ccff; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="51" bgcolor="#99ccff" style="width:51px; height:12px; background-color:#99ccff; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="53" bgcolor="#99ccff" style="width:53px; height:12px; background-color:#99ccff; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="53" bgcolor="#99ccff" style="width:53px; height:12px; background-color:#99ccff; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="42" style="width:42px; height:23px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">11</span></p>
</td>
<td valign="top" width="150" style="width:150px; height:23px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">Presenting Complaints</span></p>
</td>
<td valign="top" width="130" style="width:130px; height:23px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">dtl_PatientSymptoms </span></p>
</td>
<td valign="top" width="111" style="width:111px; height:23px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">SymptomID</span></p>
</td>
<td colspan="4" valign="top" width="229" style="width:229px; height:23px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">Default the UI to None; if other complaints are selected, None becomes de-selected.</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="42" style="width:42px; height:23px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="150" style="width:150px; height:23px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">Notes</span></p>
</td>
<td valign="top" width="130" style="width:130px; height:23px; border: solid 1px #000000;"><p style="text-align: right; margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="111" style="width:111px; height:23px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">Notes</span></p>
</td>
<td colspan="4" valign="top" width="229" style="width:229px; height:23px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">Add free text fields in the follow up form for clinicians to type in their clinical notes</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td colspan="2" valign="top" width="42" style="width:42px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">TB Screening</span></p>
</td>
<td valign="top" width="130" style="width:130px; height:12px; border: solid 1px #000000;"><p style="text-align: right; margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="111" style="width:111px; height:12px; border: solid 1px #000000;"><p style="text-align: right; margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="229" style="width:229px; height:12px; border: solid 1px #000000;"><p style="text-align: right; margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="51" style="width:51px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="53" style="width:53px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="53" style="width:53px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="42" style="width:42px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="150" style="width:150px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">Not Documented</span></p>
</td>
<td valign="top" width="130" style="width:130px; height:12px; border: solid 1px #000000;"><p style="text-align: right; margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="111" style="width:111px; height:12px; border: solid 1px #000000;"><p style="text-align: right; margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="229" style="width:229px; height:12px; border: solid 1px #000000;"><p style="text-align: right; margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="51" style="width:51px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="53" style="width:53px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="53" style="width:53px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="42" style="width:42px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="150" style="width:150px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">Performed</span></p>
</td>
<td valign="top" width="130" style="width:130px; height:12px; border: solid 1px #000000;"><p style="text-align: right; margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="111" style="width:111px; height:12px; border: solid 1px #000000;"><p style="text-align: right; margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="229" style="width:229px; height:12px; border: solid 1px #000000;"><p style="text-align: right; margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="51" style="width:51px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="53" style="width:53px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="53" style="width:53px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="42" style="width:42px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="150" style="width:150px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="130" style="width:130px; height:12px; border: solid 1px #000000;"><p style="text-align: right; margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="111" style="width:111px; height:12px; border: solid 1px #000000;"><p style="text-align: right; margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="229" style="width:229px; height:12px; border: solid 1px #000000;"><p style="text-align: right; margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="51" style="width:51px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="53" style="width:53px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="53" style="width:53px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="42" bgcolor="#99ccff" style="width:42px; height:44px; background-color:#99ccff; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">13</span></p>
</td>
<td valign="top" width="150" bgcolor="#99ccff" style="width:150px; height:44px; background-color:#99ccff; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">Physical Exam</span></p>
</td>
<td valign="top" width="130" bgcolor="#99ccff" style="width:130px; height:44px; background-color:#99ccff; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="111" bgcolor="#99ccff" style="width:111px; height:44px; background-color:#99ccff; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td colspan="4" valign="top" width="229" style="width:229px; height:44px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">In this section, if the fields indicated below with "Yes" are not filled in, then &nbsp;in the database, the field should be noted as not documented. The UI should give a warning error to the User.</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="42" style="width:42px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="150" style="width:150px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">Temp (Degrees C)</span></p>
</td>
<td valign="top" width="130" style="width:130px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">dtl_PatientVitals</span></p>
</td>
<td valign="top" width="111" style="width:111px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">Temp (deg C)</span></p>
</td>
<td valign="top" width="229" style="width:229px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">Field level validation boundaries: 30.0-50.0</span></p>
</td>
<td valign="top" width="51" style="width:51px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="53" style="width:53px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="53" style="width:53px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="42" style="width:42px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="150" style="width:150px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">RR (cam)</span></p>
</td>
<td valign="top" width="130" style="width:130px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">dtl_PatientVitals</span></p>
</td>
<td valign="top" width="111" style="width:111px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">RR</span></p>
</td>
<td valign="top" width="229" style="width:229px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">Field level validation boundaries: 4-100</span></p>
</td>
<td valign="top" width="51" style="width:51px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="53" style="width:53px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="53" style="width:53px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="42" style="width:42px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="150" style="width:150px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">HR (bum)</span></p>
</td>
<td valign="top" width="130" style="width:130px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">dtl_PatientVitals</span></p>
</td>
<td valign="top" width="111" style="width:111px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">HR</span></p>
</td>
<td valign="top" width="229" style="width:229px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">Field level validation boundaries: 30-200</span></p>
</td>
<td valign="top" width="51" style="width:51px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="53" style="width:53px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="53" style="width:53px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="42" style="width:42px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="150" style="width:150px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">BP Systolic (mm/Hg)</span></p>
</td>
<td valign="top" width="130" style="width:130px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">dtl_PatientVitals</span></p>
</td>
<td valign="top" width="111" style="width:111px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">BPSystolic</span></p>
</td>
<td valign="top" width="229" style="width:229px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">Field level validation boundaries: 50-250</span></p>
</td>
<td valign="top" width="51" style="width:51px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="53" style="width:53px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="53" style="width:53px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="42" style="width:42px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="150" style="width:150px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">BP Diastolic (mm/Hg)</span></p>
</td>
<td valign="top" width="130" style="width:130px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">dtl_PatientVitals</span></p>
</td>
<td valign="top" width="111" style="width:111px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">BPDiastolic</span></p>
</td>
<td valign="top" width="229" style="width:229px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">Field level validation boundaries: 30-150</span></p>
</td>
<td valign="top" width="51" style="width:51px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="53" style="width:53px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="53" style="width:53px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="42" style="width:42px; height:23px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="150" style="width:150px; height:23px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">Ht (cm)</span></p>
</td>
<td valign="top" width="130" style="width:130px; height:23px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">dtl_PatientVitals</span></p>
</td>
<td valign="top" width="111" style="width:111px; height:23px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">Height</span></p>
</td>
<td colspan="3" valign="top" width="229" style="width:229px; height:23px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">Field level valdiation boundaries: 0-250</span></p>
<p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">Auto populate from the IE form</span></p>
</td>
<td valign="top" width="53" style="width:53px; height:23px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">Yes</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="42" style="width:42px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="150" style="width:150px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">Wt (kg)</span></p>
</td>
<td valign="top" width="130" style="width:130px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">dtl_PatientVitals</span></p>
</td>
<td valign="top" width="111" style="width:111px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">Weight</span></p>
</td>
<td valign="top" width="229" style="width:229px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">Field level validation boundaries: 0-225</span></p>
</td>
<td valign="top" width="51" style="width:51px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="53" style="width:53px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="53" style="width:53px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">Yes</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="42" style="width:42px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="150" style="width:150px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">Pain</span></p>
</td>
<td valign="top" width="130" style="width:130px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">dtl_PatientVitals</span></p>
</td>
<td valign="top" width="111" style="width:111px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">Pain</span></p>
</td>
<td valign="top" width="229" style="width:229px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">Pain is on a scale of 1 to 10.</span></p>
</td>
<td valign="top" width="51" style="width:51px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="53" style="width:53px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="53" style="width:53px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="42" style="width:42px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="150" style="width:150px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="130" style="width:130px; height:12px; border: solid 1px #000000;"><p style="text-align: right; margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="111" style="width:111px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="229" style="width:229px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="51" style="width:51px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="53" style="width:53px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="53" style="width:53px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="42" bgcolor="#99ccff" style="width:42px; height:12px; background-color:#99ccff; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">15</span></p>
</td>
<td colspan="2" valign="top" width="150" bgcolor="#99ccff" style="width:150px; height:12px; background-color:#99ccff; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">HIV Associated Conditions/OIs or AIDs Defining Illness</span></p>
</td>
<td valign="top" width="111" bgcolor="#99ccff" style="width:111px; height:12px; background-color:#99ccff; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="229" bgcolor="#99ccff" style="width:229px; height:12px; background-color:#99ccff; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="51" bgcolor="#99ccff" style="width:51px; height:12px; background-color:#99ccff; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="53" bgcolor="#99ccff" style="width:53px; height:12px; background-color:#99ccff; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="53" bgcolor="#99ccff" style="width:53px; height:12px; background-color:#99ccff; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="42" style="width:42px; height:80px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="150" style="width:150px; height:80px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">None, Pulmonary TB, Extrapulmonary TB, etc…</span></p>
</td>
<td valign="top" width="130" style="width:130px; height:80px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-family: 'Tahoma'; font-weight: bold;">dtl_PatientDisease</span></p>
</td>
<td valign="top" width="111" style="width:111px; height:80px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-family: 'Tahoma';">Disease_pk, DiseaseName</span></p>
</td>
<td colspan="3" valign="top" width="229" style="width:229px; height:80px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">The date for any check condition will be the visit date (as oppsed the the IE form where the dates are explicitely given by the patient.)</span></p>
</td>
<td valign="top" width="53" style="width:53px; height:80px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">Yes [none, conditions entered or not documented must be filled in]</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="42" bgcolor="#99ccff" style="width:42px; height:12px; background-color:#99ccff; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">16</span></p>
</td>
<td valign="top" width="150" bgcolor="#99ccff" style="width:150px; height:12px; background-color:#99ccff; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">Assessment</span></p>
</td>
<td valign="top" width="130" bgcolor="#99ccff" style="width:130px; height:12px; background-color:#99ccff; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="111" bgcolor="#99ccff" style="width:111px; height:12px; background-color:#99ccff; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="229" bgcolor="#99ccff" style="width:229px; height:12px; background-color:#99ccff; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="51" bgcolor="#99ccff" style="width:51px; height:12px; background-color:#99ccff; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="53" bgcolor="#99ccff" style="width:53px; height:12px; background-color:#99ccff; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="53" bgcolor="#99ccff" style="width:53px; height:12px; background-color:#99ccff; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="42" style="width:42px; height:23px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="150" style="width:150px; height:23px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">Clinical Assessment</span></p>
</td>
<td valign="top" width="130" style="width:130px; height:23px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-family: 'Tahoma'; font-weight: bold;">dtl_PatientAssessment </span></p>
</td>
<td valign="top" width="111" style="width:111px; height:23px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">AssessmentID</span></p>
</td>
<td valign="top" width="229" style="width:229px; height:23px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">Note that these assessment types are different than on the IE form.</span></p>
</td>
<td valign="top" width="51" style="width:51px; height:23px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">Yes</span></p>
</td>
<td valign="top" width="53" style="width:53px; height:23px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="53" style="width:53px; height:23px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">Yes</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="42" style="width:42px; height:23px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="150" style="width:150px; height:23px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">ART Assessment - Re-evaluate; Prepare for ART</span></p>
</td>
<td valign="top" width="130" style="width:130px; height:23px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-family: 'Tahoma'; font-weight: bold;">dtl_PatientAssessment </span></p>
</td>
<td valign="top" width="111" style="width:111px; height:23px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">AssessmentID</span></p>
</td>
<td valign="top" width="229" style="width:229px; height:23px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="51" style="width:51px; height:23px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="53" style="width:53px; height:23px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="53" style="width:53px; height:23px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="42" style="width:42px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="150" style="width:150px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">WAB Stage</span></p>
</td>
<td valign="top" width="130" style="width:130px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">dtl_PatientStage</span></p>
</td>
<td valign="top" width="111" style="width:111px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">WABStage</span></p>
</td>
<td valign="top" width="229" style="width:229px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="51" style="width:51px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="53" style="width:53px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="53" style="width:53px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">Yes</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="42" style="width:42px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="150" style="width:150px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">WHO Stage</span></p>
</td>
<td valign="top" width="130" style="width:130px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">dtl_PatientStage</span></p>
</td>
<td valign="top" width="111" style="width:111px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">WHOStage</span></p>
</td>
<td valign="top" width="229" style="width:229px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="51" style="width:51px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="53" style="width:53px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="53" style="width:53px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">Yes</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="42" style="width:42px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="150" style="width:150px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="130" style="width:130px; height:12px; border: solid 1px #000000;"><p style="text-align: right; margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="111" style="width:111px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="229" style="width:229px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="51" style="width:51px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="53" style="width:53px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="53" style="width:53px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="42" bgcolor="#99ccff" style="width:42px; height:12px; background-color:#99ccff; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">17</span></p>
</td>
<td valign="top" width="150" bgcolor="#99ccff" style="width:150px; height:12px; background-color:#99ccff; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">OI Prophylaxis and Treatment</span></p>
</td>
<td valign="top" width="130" bgcolor="#99ccff" style="width:130px; height:12px; background-color:#99ccff; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="111" bgcolor="#99ccff" style="width:111px; height:12px; background-color:#99ccff; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="229" bgcolor="#99ccff" style="width:229px; height:12px; background-color:#99ccff; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="51" bgcolor="#99ccff" style="width:51px; height:12px; background-color:#99ccff; border: solid 1px #000000;"><p style="text-align: right; margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="53" bgcolor="#99ccff" style="width:53px; height:12px; background-color:#99ccff; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="53" bgcolor="#99ccff" style="width:53px; height:12px; background-color:#99ccff; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="42" style="width:42px; height:23px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="150" style="width:150px; height:23px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">OI Prophylaxis - Sulfa/TMZ - Dose</span></p>
</td>
<td valign="top" width="130" style="width:130px; height:23px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">dtl_PatientPharmacyOrder </span></p>
</td>
<td valign="top" width="111" style="width:111px; height:23px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">Drug_Pk, StrengthID</span></p>
</td>
<td colspan="4" valign="top" width="229" style="width:229px; height:23px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">Drugs can be selected without selecting duration etc.Dose and frequency are the only required fields</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="42" style="width:42px; height:23px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="150" style="width:150px; height:23px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">OI Prophylaxis - Sulfa/TMZ - Frequency</span></p>
</td>
<td valign="top" width="130" style="width:130px; height:23px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">dtl_PatientPharmacyOrder </span></p>
</td>
<td valign="top" width="111" style="width:111px; height:23px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">FrequencyID</span></p>
</td>
<td valign="top" width="229" style="width:229px; height:23px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">DS=Double Strength; SS = Single Strength</span></p>
</td>
<td valign="top" width="51" style="width:51px; height:23px; border: solid 1px #000000;"><p style="text-align: right; margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="53" style="width:53px; height:23px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="53" style="width:53px; height:23px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="42" style="width:42px; height:23px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="150" style="width:150px; height:23px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">OI Prophylaxis - Sulfa/TMZ - Duration</span></p>
</td>
<td valign="top" width="130" style="width:130px; height:23px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">dtl_PatientPharmacyOrder </span></p>
</td>
<td valign="top" width="111" style="width:111px; height:23px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">Duration</span></p>
</td>
<td valign="top" width="229" style="width:229px; height:23px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="51" style="width:51px; height:23px; border: solid 1px #000000;"><p style="text-align: right; margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="53" style="width:53px; height:23px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="53" style="width:53px; height:23px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="42" style="width:42px; height:23px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="150" style="width:150px; height:23px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">OI Prophylaxis - Sulfa/TMZ - Quantity</span></p>
</td>
<td valign="top" width="130" style="width:130px; height:23px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">dtl_PatientPharmacyOrder </span></p>
</td>
<td valign="top" width="111" style="width:111px; height:23px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">OrderedQuantity</span></p>
</td>
<td valign="top" width="229" style="width:229px; height:23px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="51" style="width:51px; height:23px; border: solid 1px #000000;"><p style="text-align: right; margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="53" style="width:53px; height:23px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="53" style="width:53px; height:23px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="42" style="width:42px; height:23px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="150" style="width:150px; height:23px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">OI Prophylaxis - Sulfa/TMZ - Dispensed</span></p>
</td>
<td valign="top" width="130" style="width:130px; height:23px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">dtl_PatientPharmacyOrder </span></p>
</td>
<td valign="top" width="111" style="width:111px; height:23px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">DispensedQuantity</span></p>
</td>
<td valign="top" width="229" style="width:229px; height:23px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="51" style="width:51px; height:23px; border: solid 1px #000000;"><p style="text-align: right; margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="53" style="width:53px; height:23px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="53" style="width:53px; height:23px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="42" style="width:42px; height:23px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="150" style="width:150px; height:23px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">OI Prophylaxis - Fluconazole - Strength</span></p>
</td>
<td valign="top" width="130" style="width:130px; height:23px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">dtl_PatientPharmacyOrder </span></p>
</td>
<td valign="top" width="111" style="width:111px; height:23px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">Drug_Pk, StrengthID</span></p>
</td>
<td valign="top" width="229" style="width:229px; height:23px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="51" style="width:51px; height:23px; border: solid 1px #000000;"><p style="text-align: right; margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="53" style="width:53px; height:23px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="53" style="width:53px; height:23px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="42" style="width:42px; height:23px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="150" style="width:150px; height:23px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">OI Prophylaxis - Fluconazole - Frequency</span></p>
</td>
<td valign="top" width="130" style="width:130px; height:23px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">dtl_PatientPharmacyOrder </span></p>
</td>
<td valign="top" width="111" style="width:111px; height:23px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">FrequencyID</span></p>
</td>
<td valign="top" width="229" style="width:229px; height:23px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="51" style="width:51px; height:23px; border: solid 1px #000000;"><p style="text-align: right; margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="53" style="width:53px; height:23px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="53" style="width:53px; height:23px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="42" style="width:42px; height:23px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="150" style="width:150px; height:23px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">OI Prophylaxis - Fluconazole - Duration</span></p>
</td>
<td valign="top" width="130" style="width:130px; height:23px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">dtl_PatientPharmacyOrder </span></p>
</td>
<td valign="top" width="111" style="width:111px; height:23px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">Duration</span></p>
</td>
<td valign="top" width="229" style="width:229px; height:23px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="51" style="width:51px; height:23px; border: solid 1px #000000;"><p style="text-align: right; margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="53" style="width:53px; height:23px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="53" style="width:53px; height:23px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="42" style="width:42px; height:23px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="150" style="width:150px; height:23px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">OI Prophylaxis - Fluconazole - Quantity</span></p>
</td>
<td valign="top" width="130" style="width:130px; height:23px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">dtl_PatientPharmacyOrder </span></p>
</td>
<td valign="top" width="111" style="width:111px; height:23px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">OrderedQuantity</span></p>
</td>
<td valign="top" width="229" style="width:229px; height:23px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="51" style="width:51px; height:23px; border: solid 1px #000000;"><p style="text-align: right; margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="53" style="width:53px; height:23px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="53" style="width:53px; height:23px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="42" style="width:42px; height:23px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="150" style="width:150px; height:23px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">OI Prophylaxis - Fluconazole - Dispensed</span></p>
</td>
<td valign="top" width="130" style="width:130px; height:23px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">dtl_PatientPharmacyOrder </span></p>
</td>
<td valign="top" width="111" style="width:111px; height:23px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">DispensedQuantity</span></p>
</td>
<td valign="top" width="229" style="width:229px; height:23px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="51" style="width:51px; height:23px; border: solid 1px #000000;"><p style="text-align: right; margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="53" style="width:53px; height:23px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="53" style="width:53px; height:23px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="42" style="width:42px; height:23px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="150" style="width:150px; height:23px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">OI Prophylaxis Other - Name</span></p>
</td>
<td valign="top" width="130" style="width:130px; height:23px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">mst_Drug</span></p>
<p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">dtl_PatientPharmacyOrder</span></p>
</td>
<td valign="top" width="111" style="width:111px; height:23px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">DrugName</span></p>
</td>
<td valign="top" width="229" style="width:229px; height:23px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="51" style="width:51px; height:23px; border: solid 1px #000000;"><p style="text-align: right; margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="53" style="width:53px; height:23px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="53" style="width:53px; height:23px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="42" style="width:42px; height:23px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="150" style="width:150px; height:23px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">OI Prophylaxis Other - Strength</span></p>
</td>
<td valign="top" width="130" style="width:130px; height:23px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">dtl_PatientPharmacyOrder </span></p>
</td>
<td valign="top" width="111" style="width:111px; height:23px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">StrengthID</span></p>
</td>
<td valign="top" width="229" style="width:229px; height:23px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="51" style="width:51px; height:23px; border: solid 1px #000000;"><p style="text-align: right; margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="53" style="width:53px; height:23px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="53" style="width:53px; height:23px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="42" style="width:42px; height:23px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="150" style="width:150px; height:23px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">OI Prophylaxis Other - Frequency</span></p>
</td>
<td valign="top" width="130" style="width:130px; height:23px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">dtl_PatientPharmacyOrder </span></p>
</td>
<td valign="top" width="111" style="width:111px; height:23px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">FrequencyID</span></p>
</td>
<td valign="top" width="229" style="width:229px; height:23px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="51" style="width:51px; height:23px; border: solid 1px #000000;"><p style="text-align: right; margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="53" style="width:53px; height:23px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="53" style="width:53px; height:23px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="42" style="width:42px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="150" style="width:150px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">OI Prophylaxis Other - Duration</span></p>
</td>
<td valign="top" width="130" style="width:130px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">dtl_PatientPharmacyOrder </span></p>
</td>
<td valign="top" width="111" style="width:111px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">Duration</span></p>
</td>
<td valign="top" width="229" style="width:229px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="51" style="width:51px; height:12px; border: solid 1px #000000;"><p style="text-align: right; margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="53" style="width:53px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="53" style="width:53px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="42" style="width:42px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="150" style="width:150px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">OI Prophylaxis Other - Quantity</span></p>
</td>
<td valign="top" width="130" style="width:130px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">dtl_PatientPharmacyOrder </span></p>
</td>
<td valign="top" width="111" style="width:111px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">OrderedQuantity</span></p>
</td>
<td valign="top" width="229" style="width:229px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="51" style="width:51px; height:12px; border: solid 1px #000000;"><p style="text-align: right; margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="53" style="width:53px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="53" style="width:53px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="42" style="width:42px; height:23px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="150" style="width:150px; height:23px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">OI Prophylaxis Other - Dispensed</span></p>
</td>
<td valign="top" width="130" style="width:130px; height:23px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">dtl_PatientPharmacyOrder </span></p>
</td>
<td valign="top" width="111" style="width:111px; height:23px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">DispensedQuantity</span></p>
</td>
<td valign="top" width="229" style="width:229px; height:23px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="51" style="width:51px; height:23px; border: solid 1px #000000;"><p style="text-align: right; margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="53" style="width:53px; height:23px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="53" style="width:53px; height:23px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="42" style="width:42px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="150" style="width:150px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="130" style="width:130px; height:12px; border: solid 1px #000000;"><p style="text-align: right; margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="111" style="width:111px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="229" style="width:229px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="51" style="width:51px; height:12px; border: solid 1px #000000;"><p style="text-align: right; margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="53" style="width:53px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="53" style="width:53px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="42" bgcolor="#99ccff" style="width:42px; height:12px; background-color:#99ccff; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">18/19</span></p>
</td>
<td colspan="2" valign="top" width="150" bgcolor="#99ccff" style="width:150px; height:12px; background-color:#99ccff; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">OI Treatment and Other Medications</span></p>
</td>
<td valign="top" width="111" bgcolor="#99ccff" style="width:111px; height:12px; background-color:#99ccff; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="229" bgcolor="#99ccff" style="width:229px; height:12px; background-color:#99ccff; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="51" bgcolor="#99ccff" style="width:51px; height:12px; background-color:#99ccff; border: solid 1px #000000;"><p style="text-align: right; margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="53" bgcolor="#99ccff" style="width:53px; height:12px; background-color:#99ccff; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="53" bgcolor="#99ccff" style="width:53px; height:12px; background-color:#99ccff; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="42" style="width:42px; height:23px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="150" style="width:150px; height:23px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">OI - Other- Name</span></p>
</td>
<td valign="top" width="130" style="width:130px; height:23px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">mst_Drug</span></p>
<p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">dtl_PatientPharmacyOrder</span></p>
</td>
<td valign="top" width="111" style="width:111px; height:23px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">DrugName</span></p>
</td>
<td valign="top" width="229" style="width:229px; height:23px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="51" style="width:51px; height:23px; border: solid 1px #000000;"><p style="text-align: right; margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="53" style="width:53px; height:23px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="53" style="width:53px; height:23px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="42" style="width:42px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="150" style="width:150px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">OI - Strength</span></p>
</td>
<td valign="top" width="130" style="width:130px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">dtl_PatientPharmacyOrder </span></p>
</td>
<td valign="top" width="111" style="width:111px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">StrengthID</span></p>
</td>
<td valign="top" width="229" style="width:229px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="51" style="width:51px; height:12px; border: solid 1px #000000;"><p style="text-align: right; margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="53" style="width:53px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="53" style="width:53px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="42" style="width:42px; height:23px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="150" style="width:150px; height:23px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">OI - Units</span></p>
</td>
<td valign="top" width="130" style="width:130px; height:23px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">Code/decode table</span></p>
</td>
<td valign="top" width="111" style="width:111px; height:23px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td colspan="4" valign="top" width="229" style="width:229px; height:23px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">Units, selected by the user for the "other" drug</span></p>
<p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">Units: mcg, mg, g, UI, %</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="42" style="width:42px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="150" style="width:150px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">OI - Frequency</span></p>
</td>
<td valign="top" width="130" style="width:130px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">dtl_PatientPharmacyOrder </span></p>
</td>
<td valign="top" width="111" style="width:111px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">FrequencyID</span></p>
</td>
<td valign="top" width="229" style="width:229px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="51" style="width:51px; height:12px; border: solid 1px #000000;"><p style="text-align: right; margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="53" style="width:53px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="53" style="width:53px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="42" style="width:42px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="150" style="width:150px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">OI - Duration</span></p>
</td>
<td valign="top" width="130" style="width:130px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">dtl_PatientPharmacyOrder </span></p>
</td>
<td valign="top" width="111" style="width:111px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">Duration</span></p>
</td>
<td valign="top" width="229" style="width:229px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="51" style="width:51px; height:12px; border: solid 1px #000000;"><p style="text-align: right; margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="53" style="width:53px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="53" style="width:53px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="42" style="width:42px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="150" style="width:150px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">OI - Quantity</span></p>
</td>
<td valign="top" width="130" style="width:130px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">dtl_PatientPharmacyOrder </span></p>
</td>
<td valign="top" width="111" style="width:111px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">OrderedQuantity</span></p>
</td>
<td valign="top" width="229" style="width:229px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="51" style="width:51px; height:12px; border: solid 1px #000000;"><p style="text-align: right; margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="53" style="width:53px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="53" style="width:53px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="42" style="width:42px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="150" style="width:150px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">OI - Dispensed</span></p>
</td>
<td valign="top" width="130" style="width:130px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">dtl_PatientPharmacyOrder </span></p>
</td>
<td valign="top" width="111" style="width:111px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">DispensedQuantity</span></p>
</td>
<td valign="top" width="229" style="width:229px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="51" style="width:51px; height:12px; border: solid 1px #000000;"><p style="text-align: right; margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="53" style="width:53px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="53" style="width:53px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="42" style="width:42px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="150" style="width:150px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">OI - AIDSRelief provided</span></p>
</td>
<td valign="top" width="130" style="width:130px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">dtl_PatientPharmacyOrder </span></p>
</td>
<td valign="top" width="111" style="width:111px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">Financed</span></p>
</td>
<td valign="top" width="229" style="width:229px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="51" style="width:51px; height:12px; border: solid 1px #000000;"><p style="text-align: right; margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="53" style="width:53px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="53" style="width:53px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="42" style="width:42px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="150" style="width:150px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="130" style="width:130px; height:12px; border: solid 1px #000000;"><p style="text-align: right; margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="111" style="width:111px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="229" style="width:229px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="51" style="width:51px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="53" style="width:53px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="53" style="width:53px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="42" style="width:42px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="150" style="width:150px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">Ordered by</span></p>
</td>
<td valign="top" width="130" style="width:130px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">dtl_PatientPharmacyOrder </span></p>
</td>
<td valign="top" width="111" style="width:111px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">Orderedby</span></p>
</td>
<td valign="top" width="229" style="width:229px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="51" style="width:51px; height:12px; border: solid 1px #000000;"><p style="text-align: right; margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="53" style="width:53px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="53" style="width:53px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="42" style="width:42px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="150" style="width:150px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">Ordered by Date</span></p>
</td>
<td valign="top" width="130" style="width:130px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">dtl_PatientPharmacyOrder </span></p>
</td>
<td valign="top" width="111" style="width:111px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">OrderedbyDate</span></p>
</td>
<td valign="top" width="229" style="width:229px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="51" style="width:51px; height:12px; border: solid 1px #000000;"><p style="text-align: right; margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="53" style="width:53px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="53" style="width:53px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="42" style="width:42px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="150" style="width:150px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">Dispensed by</span></p>
</td>
<td valign="top" width="130" style="width:130px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">dtl_PatientPharmacyOrder </span></p>
</td>
<td valign="top" width="111" style="width:111px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">DispensedBy</span></p>
</td>
<td valign="top" width="229" style="width:229px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="51" style="width:51px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">Yes</span></p>
</td>
<td valign="top" width="53" style="width:53px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">Yes</span></p>
</td>
<td valign="top" width="53" style="width:53px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">Yes</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="42" style="width:42px; height:80px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="150" style="width:150px; height:80px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">Dispensed by Date</span></p>
</td>
<td valign="top" width="130" style="width:130px; height:80px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">dtl_PatientPharmacyOrder </span></p>
</td>
<td valign="top" width="111" style="width:111px; height:80px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">DespensedByDate</span></p>
</td>
<td valign="top" width="229" style="width:229px; height:80px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">This is a key date for non paperless, For paperless order by date is key date, that will be used in reporting for anything found on a pharmacy form.</span></p>
<p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">This date = dtl_PatientArvTherapy::PrescribedARVStartDate if the patient is starting therapy. This is indicated in the IE or FU forms.</span></p>
</td>
<td valign="top" width="51" style="width:51px; height:80px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">Yes</span></p>
</td>
<td valign="top" width="53" style="width:53px; height:80px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="53" style="width:53px; height:80px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="42" style="width:42px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="150" style="width:150px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">Signature</span></p>
</td>
<td valign="top" width="130" style="width:130px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">dtl_PatientPharmacyOrder </span></p>
</td>
<td valign="top" width="111" style="width:111px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">EmployeeID</span></p>
</td>
<td valign="top" width="229" style="width:229px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="51" style="width:51px; height:12px; border: solid 1px #000000;"><p style="text-align: right; margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="53" style="width:53px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="53" style="width:53px; height:12px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="42" style="width:42px; height:23px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="150" style="width:150px; height:23px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">Adherence Counsellor Signature</span></p>
</td>
<td valign="top" width="130" style="width:130px; height:23px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">dtl_PatientPharmacyOrder </span></p>
</td>
<td valign="top" width="111" style="width:111px; height:23px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">Signature</span></p>
</td>
<td valign="top" width="229" style="width:229px; height:23px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="51" style="width:51px; height:23px; border: solid 1px #000000;"><p style="text-align: right; margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="53" style="width:53px; height:23px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="53" style="width:53px; height:23px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="42" style="width:42px; height:24px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="150" style="width:150px; height:24px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">When is the patient's next appointment?</span></p>
</td>
<td valign="top" width="130" style="width:130px; height:24px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">Dtl_Patientappointment</span></p>
</td>
<td valign="top" width="111" style="width:111px; height:24px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">Appdate</span></p>
</td>
<td colspan="4" valign="top" width="229" style="width:229px; height:24px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">This date is automatically calculated based on appointment period selected.</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="42" style="width:42px; height:24px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="150" style="width:150px; height:24px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">Next appointment date</span></p>
</td>
<td valign="top" width="130" style="width:130px; height:24px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">Dtl_patientappointment</span></p>
</td>
<td valign="top" width="111" style="width:111px; height:24px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">Appdate  </span></p>
</td>
<td colspan="4" valign="top" width="229" style="width:229px; height:24px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">The date can be entered directly. If a date is entered, then appPeriod is Null.</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="42" style="width:42px; height:24px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="150" style="width:150px; height:24px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">Appointment Reason</span></p>
</td>
<td valign="top" width="130" style="width:130px; height:24px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">Dtl_patientappointment</span></p>
</td>
<td valign="top" width="111" style="width:111px; height:24px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;"> AppReason</span></p>
</td>
<td colspan="3" valign="top" width="229" style="width:229px; height:24px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">Reasons are “Follow up”; “Lab test”; and “Treatment Preparation”</span></p>
</td>
<td valign="top" width="53" style="width:53px; height:24px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
</tr>
<tr style="text-align:left;vertical-align:top;">
<td valign="top" width="42" style="width:42px; height:35px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="150" style="width:150px; height:35px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt; font-weight: bold;">Print</span></p>
</td>
<td valign="top" width="130" style="width:130px; height:35px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="color: #000000;">&nbsp;</span></p>
</td>
<td valign="top" width="111" style="width:111px; height:35px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">Print</span></p>
</td>
<td colspan="4" valign="top" width="229" style="width:229px; height:35px; border: solid 1px #000000;"><p style="margin: 0px 0px 0px 0px;"><span style="font-size: 8pt;">This button is used to take hard copy of the form. This is basically feature of paperless, but is implemented for non paperless too</span></p>
</td>
</tr>
</table>
</div>

<!--ZOOMSTOP--> 

</div></div> 
</body>
<!--[if IE]>
<script type="text/javascript" defer="defer">
$("#hmcontent",window.parent.document).ready(function() {
var doTogJump=setTimeout("toggleJump()", 0);
      });
</script>
<![endif]-->
</html>
